Michael Dale Richardson
NPI #1477594646 in Bridgeport, California
Provider Information
- NPI Number
- 1477594646
- Entity Type
- Individual
- Name
- Michael Dale Richardson
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- HC-83 BLDG 3005
- Address 2
- NAVAL HOSPITAL BRANCH CLINIC MCMWTC
- City
- Bridgeport
- State
- California
- ZIP Code
- 93517-0001
- Phone
- (760) 932-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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